HomeMy WebLinkAbout1152 Burlingame Avenue - Applicationeuaur+g�iYie
COMMUN(TY DEVELOPMENT DEPAF2TMENT • 5Q1 PRIMROSE ROAO • BURLINGAME, CA S4O1 O
p: 658.558.7250 • f: 650.69fi.3790 • www.burtingame.org
APPLICATICiN TiJ THE PLANNING C4MMISSIt�N
Type af appiication: �
� Design Review ❑ Variance ❑ Parcel #:
O Conditional Use Permit O Special Permit � Zoning ! Uther.
PROJECT ADDRESS: 1152 Burlingame Ave. Burlingame, CA 9ao10
APP�ICANT
N2me: Lemon�de Restaurant Group, LLC
Address: t0000 Cut�er Bi��d.
CityfState/Zip: c:u►v�r �<<y, �A go2?�
Phone: (9 t�) 3 t 6-0005
E-mail: Brady.titus(d;lcmonadela.co�n
ARCHITECT/QESIGNER
Name: J�A
AddC2SS: � � � �� Promenade `orth
City/StBte/Zip: Long Beach, CA 908(l2
Phone: (562) 20fi-?720
�_rp�j�; Cottney(a�idaaxperience.c-om
Burlingame Business License #:
Zdtb
Authorization to Rearoduce Proiect Plans:
I he�eby grant the City of BuHingame the authority to reproduce upon request and/or post plans submitted with this
application on the City's website as part of the Planni�g approva! pracess and waive any claims against the City
arising out af or reiated to such action. (Initials of ArchitecUDesigner}
PROJECT DESCRIPTION: � 1 • �ac�e �ir�,�����,l1.7'�S'�
AFFIDAVIT/SiGNATURE: I hereby certify under penalty of perjury that the informa#ion given herein is true and correct to the
best of my knowfedge ar�d beiief.
ApplicanYs
I am aware of the proposed application and
Commission. ...
Property owner's signature:
_ Dats: „�--
Date subrnitted: 2' 2 2� 1�
S: {HANDDUTSV PC Appliration. doc
Date:
the abave applicant to submit this application to the Planning
PROPERTY OWNER
Name: ,tivT,4�. .�hr�"L-
Address: �3r1 PRf.NfRa.f� i�'��
City/State/Zip: /.�rr�'G.�N�"� G�f ���'� �
Phone: �SZ� - �`,'� — 4 �7p
E-mail: f�v'Tti�l�+��'� t��R�loO�.,rLoNt
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